Lloyd A. Bookman

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311 appearances 1 recordings 1 series first heard Jul 2026 last heard 17 Jul

Lloyd A. Bookman’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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AHLA's Speaking of Health Law · One Year In: Implementing the Medicaid Provisions of the Working Families Tax Cut Act · 17 Jul 2026 podcast

by ten percent or one billion dollars, or excuse me, or one million uh one hundred million dollars each year until you get to Medicare.

So it's a much more accelerated reduction in the size of state directed payment pools.

Than than was anticipated.

Um, so we're gonna see significant declines in state directed payments until before HR one and before this proposed rule, state directed payments could go up to the average commercial rate, which gave states a lot of room.

And a lot of states took advantage of that room, and that's gonna start tumbling down, and states are gonna see uh significant reductions in their ability to make state directed payments.

Lloyd, what are you talking about?

Harsh really quick.

Uh remind the initial HBO uh CBO estimate was $149 billion reduction.

It's uh based on the proposed rule, it is now a five hundred and twenty billion dollar federal reduction.

Uh we somehow

basically just more than triple triple the estimate.

Well uh we uh we have a comment period that's coming up in about a week and a half.

Um we have most of the healthcare providers are up in arms, uh scared, concerned, um uh are gonna see you know, they're gonna attempt to submit comments that argue that this goes well beyond what Congress intended.

Um that and then it's how do we plan for the

for this disaster.

Um and that's it's sort of fear and loathing, I think is what I'm seeing from from Yeah, and your your thoughts.

Well, real quickly, the almost dead case, DOJ has taken the position and June t in June, uh DOJ took the position that states, um

Um don't have to ensure that

patients with disabilities are serviced in the most um um in integrated uh setting appropriate.

So they basically said the courts are wrong.

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